Alfredo Covarrubias-Gómez
CancerPublic healthCommon cause and special causeSocioeconomic statusRandomized controlled trialIntensive care medicinePhysical therapyCancer painModalitiesQuality of life (healthcare)Chronic painPain managementPalliative careAdvanced cancerPerioperativePublic institutionAnesthesiaFamily medicineMedicineDeveloping country
58Publications
11H-index
517Citations
Publications 58
Newest
COVID-19 has overwhelmed the capacity of health care systems, limiting access to supportive and palliative care for patients with advanced cancer. Telemedicine has emerged as a tool to provide care continuity to patients while limiting the risk of contagion. However, implementing telemedicine in resource-limited settings is challenging. We report the results of a multidisciplinary patient-navigator-led telemedicine supportive care program in Mexico City. One-hundred sixty-three telemedicine inte...
3 CitationsSource
Last. Paul E. Goss (Harvard University)H-Index: 84
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BACKGROUND The early integration of supportive care in oncology improves patient-centered outcomes. However, data are lacking regarding how to achieve this in resource-limited settings. We studied whether patient navigation increased access to multidisciplinary supportive care among Mexican patients with advanced cancer. MATERIALS AND METHODS This randomized controlled trial was conducted between August 2017 and April 2018 at a public hospital in Mexico City. Patients aged ≥18 years with metasta...
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12112Background: We previously reported improvements in access to SC, advance directive completion, and pain control in a RCT comparing a patient navigator-led early SC intervention vs. usual care ...
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Background:Early specialized palliative care improves quality of life of patients with advanced cancer, and guidelines encourage its integration into standard oncology care. However, many patients ...
4 CitationsSource
Last. Paul E. Goss (Harvard University)H-Index: 84
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Background Pain control is an essential component of high-quality palliative care. Unfortunately, many low-income and middle-income countries lack an appropriate infrastructure to provide palliative care and suffer from a severe lack of access to opioid analgesics to alleviate pain from various conditions such as cancer. Objectives We aimed to review the history and current status of cancer pain management in Mexico, a middle-income Latin American country. Our objective was to identify existing ...
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